尿流动力学的临床应用评价

Clinical Application Evaluation of Urodynamics

目的尿流动力学检查的临床应用评价。方法回顾性分析我院门诊及住院患者2 040例;选用加拿大LABORIE公司的尿流动力学检查仪进行尿流率检测、充盈期膀胱测压和排尿期同步压力流率测定、同步尿道外括约肌肌电图测定,从而结合临床资料判定尿流动力学诊断。结果膀胱出口梗阻846例,占41.47%;膀胱出口可疑梗阻222例,占10.88%;神经源性膀胱尿道功能障碍448例,占21.96%;膀胱过度活动症134例,占6.57%;膀胱逼尿肌无力/乏力260例,占12.75%;膀胱出口无梗阻及尿流动力学检查未见异常患者86例,占4.22%;其他如高/低顺应性膀胱等44例,占2.16%。结论尿流动力学是明确下尿路症状原因的重要检查手段,具有较高临床应用价值。

Objective To study the clinical application evaluation of urodynamics. Methods We summaried our experience of 2 040 consecutive urodynamic examinations,We tested urinary flow rate,filling stage of bladder pressure and bladder pressure flow rate,simultaneous urethral external sphincter electromyography using urodynamics inspection instrument from LABORIE company in canda. Results Bladder outlet obstruction,846 cases,accounted for 41.47%,bladder outlet suspicious obstruction,222 cases,accounted for 10.88%,neurogenic dysfunction of bladder and urethra,448 cases,accounted for 21.96%,overactive bladder 134 cases,accounting for 6.57%,bladder detrusor muscle weakness/fatigue,260 cases,12.75%,as for bladder outlet without obstruction and urinary flow dynamics examination,there were 86 healthy people,accounted for 4.22%,others,such as high/low compliant bladder 44 cases,2.16%. Conclusion The urodynamics has high clinical application value in the clinical application.